California Broker Monthly Call

No Boasting — No Gloating—Just the Facts

Sharing Stories of Success with Solving Client ISSUES

By Carmen Ponce

On a recent Client Success Stories call, attended by 40 California Broker subscribers, Carmen Ponce went over three situations where clients had issues with accessing care using their health benefits. Carmen shared some very timely information on Timely Access to Care CA Law, Carrier Network Adequacy, and Single Case Agreements.

She explained the goal of the Client Success Stories Call is to help everyone’s knowledge of what worked to resolve client issues so that attendees can learn from these examples and eventually help resolve more client issues.

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A Case Study- Employer Funded LTCi

By Marc Glickman FSA, CLTC

Last month, we shared a group LTCi enrollment for a large employer with over 20,000 employees.

This month, I wanted to share a story that hits us close to home. One of the benefit brokers in our community was interested in offering LTCi to a long-time client of his. The client’s company provides care management services to children with serious behavioral health, substance abuse, or developmental issues and their families.

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Donut Holes & Big Balloons

What drug pricing reform might mean for employer plans

By Humana

Signed in August last year, the Inflation Reduction Act is intended to lower the cost of prescription drugs, particularly for seniors. This includes several provisions to reduce federal drug spending and to reduce out of pocket costs for seniors enrolled in Medicare Part D.

Retirees with Medicare will be directly impacted by the benefit of lower prescription drug costs and a redesigned prescription drug program. One of the most exciting changes included in the IRA is the filling of the “donut hole,” a yearly cap ($2,000 by 2025) on out-of-pocket prescription drug costs in Medicare. The “donut hole” was created as a way to limit the cost of prescription drug coverage to the federal government.

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Do You Have a Plan to Protect Your Commissions?

By Phil Calhoun

At Commission Solutions we provide health insurance professionals with current information and proven solutions to protect, grow and sell health insurance commissions. We know from experience how the process works as we are health insurance professionals too and we have helped hundreds of health brokers understand their commissions. We help our colleagues learn why commission protection is vitally important to understand. We then move to develop a personalized plan to address the risk of losing commissions and outline how commissions are to be paid in retirement and to whom should the health broker pass. Our plans provide 100% protection of commissions.

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INDUSTRY CALENDAR

2024 CONFERENCES

April 9 @ 7:30am-4:00 pm CAHIP Los Angeles Annual Conference 2024 Shaping the Future of Healthcare @Skirball Cultural Center: Register

May 13-15, CAHIP Capital Summit @Kimpton Sawyer Hotel, Sacramento: Register

June 23-26, Society for Human Resources Management (SHRM24) Annual Conference and Expo @Chicago : Register

APRIL

April 8-10, RSSA Medicarians 2024, @ The Fontainebleu, Las Vegas: Register

April 11 @5:30-10PM, SAHU PAC Event @ California State Railroad Museum 125 1 St, Sacramento, California : Register

April 18 @10:00am-4:00pm 2024 CAHIP-Golden Gate Symposium @Lafayette Veterans Memorial Center: Register

April 18 @ 2:00pm: SAHU Vanguard Cornhole 2024 @Le Five 11115 Folsom Blvd, STE 200, Rancho Cordova, CA: Register

April 18 @5:30pm-8:30pm NAIFA Los Angeles 1st Annual Pathway to Excellence Awards: Register

April 22 @ 10:00am-7:00am: CAHIP LA 27th Annual Take a Swing Fore the Cure Charity Golf Classic @ Aliso Viejo Country Club: Register

April 25 @9:30 AM – 12:30 PM, Covered California Outreach and Sales Special Enrollment Period 2024 Workshops: Register

April 26 @2-6PM Dance Showdown @Four Points by Sheraton 8110 Aero Drive, San Diego CA: Register

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